Active NPI
Linda Maria Mendes, RPH
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1255975009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS55789
- Practice address
- 3250 Vineland Rd # 1
Kissimmee, FL 34746-4893 - Phone
- (407) 397-1202
- Fax
- (407) 397-1230
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS55789 | FL | Primary |
| Pharmacist | 183500000X | PH24736 | MA |
Addresses
Primary practice location
3250 Vineland Rd # 1
Kissimmee, FL 34746-4893
Mailing address
345 Admiralty CT # 1
Edgewater, FL 32141-7920
Phone (508) 212-7995
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmendes.s05420.us@wal-mart.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS55789 | FL | MD | Pharmacist |
| PH24736 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1255975009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 ADMIRALTY CT # 1",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "321417920",
"telephone_number": "508-212-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 VINELAND RD # 1",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464893",
"telephone_number": "407-397-1202",
"fax_number": "407-397-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDES",
"first_name": "LINDA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55789",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24736",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmendes.s05420.us@wal-mart.com",
"affiliation": "N",
"address_1": "3250 Vineland Rd # 1",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347464893",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.